title: [Hemodynamic reactions in the area supplied by the middle cerebral artery in post-puncture headache].
abstract: We used transcranial Doppler ultrasonography to investigate whether a change in hemodynamics in the major arteries of the brain base occurred after diagnostic lumbar puncture. On the day before diagnostic lumbar puncture the flow in the right and left middle cerebral artery was measured in 36 patients using transcranial Doppler ultrasonography. 48 hours after lumbar puncture a second ultrasound examination was performed. We found that only patients with post-lumbar puncture headache (PLPS) showed a significant reduction in the flow of the right middle cerebral artery (p less than or equal to .05). These findings support the puncture-hole-seepage theory as pathogenetic principle of PLPS.
authors.affiliation: Abteilung Neurologie der Universität Kiel.
authors.forename: H
authors.initials: H
authors.lastname: Göbel
authors.forename: H
authors.initials: H
authors.lastname: Klostermann
authors.forename: V
authors.initials: V
authors.lastname: Lindner
authors.forename: S
authors.initials: S
authors.lastname: Schenkl
mesh_terms: D000328:Adult; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology; D002560:Cerebrovascular Circulation / Q000502:physiology*; D004311:Double-Blind Method; D004453:Echoencephalography / Q000295:instrumentation; D005260:Female; D006261:Headache / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007090:Image Interpretation, Computer-Assisted / Q000295:instrumentation; D007427:Intracranial Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D013129:Spinal Puncture
vernacular_title: Hämodynamische Reaktionen im Stromgebiet der A. cerebri media bei postpunktionellen Kopfschmerzen.